regarding your editing. I was impressed by how quickly you covered all the material. it was 1:50 at the beginning of the video - you were able to squeeze it all in by 1:50. Either very very very fast or the filming took 12 hours i.e. 1:50pm to 1:50am. ya I know, green screen
Wow! A doctor who can speak so the patient can understand - Your communication is appreciated . And how great it is to find a Dr. who doesn’t initially whisk his patients off to surgery but gives options of mild chiropractic , medication , physical therapy👏🏼👏🏼👏🏼
I been told i hv a pinch nerve call disk arnia c6 c7 i might need surgery . Physio mentioned to me to be careful wt neck surgery i can bw paralyzed. Now im more confusing
I have watched countless videos and googled countless websites and your video is the absolute best at simply explaining from A-to-Z what’s going on with the lumbar spinal stenosis and what the treatment options are , thank you so much for taking the time to do this it means so much and helps so much. Thank you.
L5 S1 radiculopathy here. I'm on week , 15 of PT. Pain in left foot only getting worse. Begging for shots or oral steroids. No NSAIDs allowed. Back issues for 50+ years. Best presentation I have ever seen Thank you,!
I have spinal stenosis in L4and L5,diagnosed in 2018. Was consulted to a neurosurgeon by my neurologist but unfortunately up to now haven’t heard from him. It’s getting worse in fact I am using a walking cane as sometimes sudden buckling of my leg. I was finally seen by a pain specialist. With the treatment with medications it’s helping and am using a lumbar belt. The fortunate part of it is my right leg is good with no pain or any other symptoms and I can drive a car. By the way I also have seen a physiotherapist and am doing the exercises that was told to do it bid. Your video is quite excellent and I can fully understand my situation . Thank you.
As a primary care physician of 25 years and fellow disc disease and spinal stenosis sufferer, I can attest to everything Dr. Donnally is saying as spot on 100%. I'm pleased to see that this is how I've been advising my patients. Surgery in many cases should be tried only when all else fails or if time fails to resolve the problem.
I have recently had x-rays and an MRI, both indicating lumbar spinal stenosis as well as disc degeneration. I have been trying to translate all the medical terminology used in the MRI report so I can understand the true situation. This video is excellent in explaining the various elements involved, the possible conditions and how they can affect each other, and various procedures - primarily non-surgical - to help relieve pain. Thank you, Dr. Donnally, for your clear, concise talk in lay terms so we non-medical folks can grasp and understand the body structure and elements involved, what can go wrong, and how different procedures work to counteract the problems. I especially appreciate your dedication to using non-surgical treatment whenever possible, leading to quicker relief and shorter recovery times as well as minimizing risks. I rate this video as 10 out of 10, and recommend it to others who need this information.
Hey there, Dr. Donnally does about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438) 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - Again- no HMO, no Medicaid. Must have your X-rays and MRI.
This was so informative. I have lumbar stenosis and no one has ever explained my condition as well as you have in this video. Thank you for all the time and work you put into this.
Thank you so much for explaining spinal stenosis so clearly. Just to add to what you’ve addressed. I had two pain management treatments under sedation. They failed. Tried it one more time - no sedation and it worked perfectly….no pain. The difference was I could fee the doctor’s manipulations….you do get a local so there’s no pain. The doctor would ask “can you feel it now …left or right?”. We continued this until I couldn’t feel any pain left or right.😊
71 year old athlete in Tulsa. Sprinted in yard and tripped Jan 6. Many visits to 3 orthopedic surgeons and 2 MRI revealed torn hamstring and an extruded herniated disc in the L-5, S-1. Two months of excruciating sleep-depriving constant pain. My Primary Care DO referred me to the Pain Management Center. Yesterday morning while prepping for Epidural, the techs mentioned that "sometimes" if no relief people will schedule another treatment the next week. During procedure, the doc and her female techs maintained what seemed a super casual conversation about plans for St Paddy's day while I was excruciating for the few minutes of treatment. You mentioned at 10:24 "unethica pain management. When a tech plants the notion of another treatment the next week my red flag goes up. Your presentation is the best!!
i live near tulsa to and i can say all the doctors i have been to there are not my cup of tea i have seen dr harwell at spine and brain institute. not any doctors in okla for me that knows much.
Thank you Doctor for one of the best, clear explanation of Spinal Stenosis and to not to rush to surgery. I have had spinal stenosis for years and just now have had a flare up do to an injury.
Had a MRI years ago, was sent to a doctor who does spinal blocks, he would not do one on me, said he didn't want to paralyze me. I am doing therapy now helps me straighten up, relieves some pain. Had back problems since I was 36, am 76 now. I always have pain, have learned to live with it. I like standing up straight, I don't feel like everyone stares at me.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Great information Doc. I'm a retired nurse. I went to pain management doc here in Tucson. The injections have greatly decreased my pain I have had two spinal surgeries. I have a fusion of S 3,4, and S1. Currently, I'm having aggressive Pt. I'm walking and have a deep appreciation of you caring docs.
This is the third video from other professionals I've listened to about lumbar spinal stenosis and I have to say Dr. Donnally convinced me to get the injection of steroids that my pain management doctor wants to give me. My back pain is between L1-L5 and has affected my quality of life so much that I cannot stand more than 4 minutes or walk more than 8 minutes without the pain nearly causing me to crumple. Dr. Donnally has a very good bedside manner with a clear voice, specific pronunciation and my guess would be very kind to his patient. Even though I have so much pain in my back you would think a needle wouldn't scare me but it does because I am deathly afraid of the pain the needle will cause. I have bookmarked this video so I can watch it again. Thank you Dr. Donnally.
@@DonnallySpineConsult I wish I could come see you but I live in North Carolina, I'm 82 years old and honestly can't afford the trip. My pain management doctor offered to prescribe two Xanex to take before the appointment. Hopefully I'll work up the nerve to get the injection. Thank you for responding.
@@amberashley7559 I'm surprised that you were asleep. All the doctors I spoke to and information I have read say that the patient needs to be awake to be able to answer questions the doctor will ask such as do they feel pain in their legs or feet. If they do that is bad and the doctor will either stop or put the needle in a different spot.
Thank you Dr. Donnally for this comprehensive, clear presentation of a condition that is so prevalent. As a long time sufferer of that condition, it is for the first time I got a complete understanding of the condition and available approaches of treatment. Very helpful with your knowledge and obvious empathy for your patients! More power to you and please share more videos with us!👏
Thank you for the clear and definitive explanation. EVERYTHING you discuss in this video had happened to me. It started with scoliosis, then enherniated discs, now severe, high-grade spinal stenosis. I have 3 bulging discs, spinal stenosis, and now the surgeon that I consulted in Georgetown says that without the cartilage, I have an upper disc that has permanently slipped below the lower one. He showed me the MRI and explained that at the lower discs, the nerves are not visible at all because of the severe compression. Not to mention degenerative disc disease. My conditions are also complicated by tearing both of my hamstrings and they didn't heal properly. My primary care doctor reviewed the MRI and said "WOW, that's an awful lot going on with your back!" No kidding. The surgeon said that he couldn't believe that I could still walk because I had the worst case he's ever seen. He wanted to do surgery, but a 3-month recovery with NO bending, lifting or twisting. Since I live alone, that's not happening. The constant excruciating pain has become so unbearable that I can't even sleep in bed anymore, but I have to sit up on my couch. On some days, it's tolerable. It's also exacerbated my chronic sleep disorders. I'm just a mess in general. I'm in Killeen.
I understand. The doctor that looked at my mri said he had not see one person that has so much bad going on in their back. I had one day this past week where I had hours without pain. It was wonderful. I try not to get depressed. Cold weather really bothers me. If you are a praying person we could pray for each other. ❤
I was diagnosed 5-6 years ago with spinal stenosis, with two bulging discs around l4 and l5. I have had subsequent years of leg (hams & quads) muscle atrophy and twitching, and pain. I am finally going to a surgeon soon. Thank you for your thorough and accessible video.
I was trying to explain my back issues to my wife. Now I can show her this video. I have everything you are showing on most of my neck and all my lumbar.
Thank you Dr. D. I am a medical student who is challenged by spinal stenosis and this was helpful in understanding the dynamics of the process. It bridges the gap between my medical school knowledge and some of the specific physiology involved in this disease process. More importantly, this helps me to make better decisions for myself. I appreciate your work.
Thank you for all you do to the community Dr D. Suffered from left leg sciatica pain for a year and a half and this year I changed my insurance to PPO which greatly improved my chances of seeing the doctors that I think are best for me. PT, injections and oral meds didn't help. Went to Dr #1 and he recommended L4L5 disectomy, laminectomy and all the works. But I thought I have 3 discs slipping etc etc and why not do more since he's going to open me up anyways. Went to Dr #2 from one of Chicago's top ortho hospital (with your encouragement) and #2 did additional L4L5 fusion and pain was totally gone right after surgery. I'm thankful to you for calming my nerves before undergoing surgery. Now I'm totally pain free thank God!
BRILLIANT! Probably the best shortcut to learn and understand radiological terminology and interpretation of MRI scan on your lumbar spine.. Been there, done it , avoided the surgery by the skin of the teeth ! ..and defied a top London surgeon's prognosis !
Wow! That was an excellent presentation. I was a career Army officer and we always tried to comminicate very complex things 'at the 8th grade level' so everyone can understand the task. In order to do this you have to really know your topic. I think an 8th grader could understand your presentation. I'm going through the lumbar/sciatica process now. My chiropractor recommended I persue the pain injections. He mentioned the diagnostic benefit as well. I have found the injections very helpful for my neck. At the VA where I get treated, for a chronic problem you have to be referred to the spine surgeons by pain management or physical medicine, so they don't QB the injections.
8/21/24 very helpful. Leads me to understand the importance of finding a surgeon who is willing to treat my symptoms,rather than treating my MRI . Thank you so very much.
Invaluable- clearly presented information. My symptoms come and go- right now quite intense- working on strengthening core with squats, pelvic tilt and bridges. My spinal surgeon and I are resolved to avoid the O.R.! Thank you- great video.
Thank you for this very explanatory video. It helps so much in understanding how to live with this condition and to manage the symptoms effectively. It's a steep learning curve!
Dr. Donnelly! THANK YOU SO MUCH! I've had back problems all my life, have had two surgeries, and am facing the possibility of another. NO ONE, no doctor, book, video, anything has ever explained lumbar stenosis and its treatment as completely and clearly as this! I'm saving this so I can forward it to anyone I know who's having back problems. A million thanks!
Thank you for all this information. I have had very bad pain in lumbar area since 2007, most likely due to long time acromegaly. I am quite concerned (terrified) to even consider surgery. I really appreciate your clear explanations. I have had several surgeries including pituitary tumor resection, hip and knee replacement, but spine surgery is the scariest. After seeing your video I am again going to consider it. Thank you.
You explained things so clearly..I have been offered surgery but not ultrasonic but removing the top bone off. I am terrified too . How can I tell this to a consultant surely he already knows what he's going to do.
Thank you! My partner was just diagnosed with spinal stenosis, no mention of the region but I’m sure it’s lumbar. Your video explains very clearly to us non-medical folks what is going on and what to do. He had an MRI yesterday so we’re on the right track. Again, thank you so very much!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
I was just diagnosed with spinal stenosis this week and as I lay here in bed with my leg in pain, I came across this video because I could not sleep. This is a really great video explanation in all areas. I want to avoid surgery as much as possible. I am due to get an MRI. I have also been given an order for physical therapy so will be starting that soon. thank you for the time that you put into making this video for those of us that don’t understand the medical terminology I could understand this.
Hey there, Dr. Donnally does about 15 new patient telemedicines💻 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We can’t take Medicaid. Private pay is sometimes an option, unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for your 1st visit. (The only HMO we take is BCBS). 3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough and is a misuse of your time. It needs to be from last 12 months. Nothing older is needed or wanted. Cant stress this enough, must have BOTH: x rays and MRI. 4- You need to get your CD of your X-ray and MRI (imaging centers will NEVER send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🥰(or at a CVS with Physician LookUp Code k5037438) 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - Again- no Medicaid. Must have your X-rays and MRI.
Thanks Dr. You totally care about your patience. My experience there is a small percentage of doctors who always wants to run to surgery I run away from them and get a second and maybe a third opinion.
Thank you... I live in Thailand, and explanations in English are challenging, thus your clear and concise explanations and recommendations are welcomed.
THANK YOU Dr. Donnally!!! This is the best information I have ever received. I have had severe lumber and cervical spine issues with pain since I was ten years old. Car accident trama. I'm now 63 years old. I have had three lumbar surgeries in the L5-S1 area. 1999, 2001, and 2004. The only one the truly helped was in 2004. All of the surgeries were for removal of fragmented disks. Now that the pain in the lumbar area is so severe, after multiple injections, I was advised that I need to have the disks removed and spacers placed there for a fusion. The cervical area in just has bad and needs the same treatment. I sure wish I lived in Texas could be treated by you. Thanks again for this video.
A great presentation of what I am dealing with currently. I have completed physical therapy and am also being adjusted by a very good chiropractor. Relief is slowly getting better!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
What a great video! Thank you for taking the time to really explain the causes and treatments. Keep preaching for people to avoid surgery if they can. 👍
Doc what an amazing clip. Just diagnosed with possible Stenosis. Starting oral steroids, gab and PT. Then will evaluate for MRI. Thx for a clear discription.
Both of my feet are numb apparently from spinal stenosis but am not a candidate for surgical intervention due to "poor bone quality", ie, osteoporosis. I'm kind of backed into a corner 😁 I appreciate the thorough info presented so I can discuss this with my Dr with more understanding of my DX 👍
I am currently doing physical therapy for lumbar stenosis. I cannot stand for more than 10-15 minutes before lower back pain is pretty severe. The pain is changing areas, from the lower back to buttocks and down the back to my knees.
This is such a great explanation of lumbar spinal stenosis, thank you so much! It took more than 10 years for me to get a diagnosis and I managed things for several years with rehab exercises, but it has flared up this year and progressed to tingling and numbness in legs and feet. I'm trying to get a consult with a surgeon here in Toronto. I had a cortisone injection 5 weeks ago and it helped with some pain but did nothing to alleviate the numbness. I can barely walk 100m, if it's a good day, before my feet go numb and sometimes it feels like my legs are about to buckle. At least I feel better informed about what may actually be happening. Thank you, Dr. Donnally!
That was an excellent explaining, thank you so much. I am going to be seeing pain management for the epidural injections of L4-5 and L5-S1. I have several levels of degenerative disc disease and disc desiccation too. My question is how long can I continue to take anti inflammatories like Aleve, or Advil without it causing harm to my liver or stomach?? I’ve been taking a combination of Advil and Tylenol alternating every 4 hours. (Doing this until I can get my epidural scheduled). I also realize I will need to stop the advil before the procedure. I have also had several courses of medrol dosepack over the last 8-9 weeks because of the pain. Fortunately my pain has begun to subside slightly, and I am not showing weakness in my legs any longer. But that’s only been about a week or so now. I hate taking the meds but the pain was debilitating at first. So glad it is beginning to get better, or maybe the meds are just working better now. Thanks for your time.
@@DonnallySpineConsult just be careful taking them, don't exceed more then 8 pills in a24 hour period ,and watch taking acetaminophen.bad for the liver.
I have this issue with weak muscles due to nerve degeneration. Is there any way that nerves might heal after surgery. It has been over twenty years when I was diagnosed with it and I opted not to go for surgery. Would appreciate a reply. Is there any supplement which may help in nerve regeneration?
Excellent, excellent description of spinal stenosis and treatment. I got a steroid shot in a joint, not the spine and the pain went away and it was such a relief.
I had Spondylolisthesis from pars fractures that formed between ages eight and fifteen. That and arthritis and disc herniation caused my stenosis was so severe (bone on bone) where I had no choice but to have anterior and posterior spinal fusion surgery and that really helped me. The Spondylolisthesis and Stenosis is also genetic.
Very interesting information. I have been suffering with lower back pain for the past four years but now it’s getting better because I exercise regularly. Sometimes I get this shooting pain right down my leg and it’s very painful. I was diagnosed with lumber disc herniation of the third and fourth disc. What else must I do to get rid of this situation? Hoping to hear from you. Thank you very much.
Yes, please reach out! I do about 15 new patient telemedicines every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com 2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- recap: email us, get CDs, upload Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html
@@DonnallySpineConsult Dr. Donnally I'm too far away to be referred TO YOUR CARE. WORSE, THE SPINAL CENTER CLOSEST RO Me has closed down. I needed surgery for SI MANY OF WHAT SO OUR VIDS have) do describe!! And needed the well over a decade ago!! I'm stuck in Illinois, ALREADY ON MEDICARE/DISABILITY. YET CLOSEST QUALITY SPINAL SPECIALISTS ARE IN Missouri. My legs, esp. right leg Is buckling, the ONE LOCAL CHIRO that Does TAKE MEDICARE, well, is the same honestly as NOT GETTING ON THE TABLE-IF you get my meaning. I am at this point...trying NOT to live through the day by being permanently connected to the tense home devise I have. (I HATE BIG PHARMA/IE; dumping meds into my system).
Love u dr..iam with rhematoid arthritis with steroids 15 yrs..i have terrible cervical nd lumbar stenosis of 25yrs..whole body is with parashesias......u love ur mom somuch.
Awesome video! I had surgery for spinal stenosis 3 years ago. They didn’t fuse any vertebrae but rather removed whatever was causing the stenosis. The pain in my legs was completely gone but has recently returned. The surgeon told me that he will install plates and screws next time which I would like to avoid. I’m going to pt now hoping I can get some relief. It seems to be helping. I’m gonna ask my doctor about the steroids and injections.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
I've watched a lot of vids on this topic and this cleared up a lot of the fog for me. A great explanation of what stenosis is and the treatment options. My local doc didn't do 1/10th of the education that I received watching this video. Thank you.
I have the weakness in legs - especially the right leg. PT tried to get me to increase strength, but it caused more back problems. Been in PT for years. Just discovered many of the exercises in PT could be making spinal stenosis worse. Those are lower back strengthening exercises - like bird dog, or superman, hip flexor exercises - like leg raises or marching, and piriformis stretching, or reaching across to feet while sitting and hamstring stretches. I've got to get the stenosis specific exercises, like abdominal bracing, pelvic tilt while holdingback and abs down and contracting glutes, knees to chest while holding the back down and glutes engaged, angry cat and ab curls - both withkab tightening and glutes engaged. Are there any PT stenosis specialists out there? All of mine seem to want me to do other stuff that aggravate my condition - while telling me that I may need hip replacement.
Hey there, I do about 15 new patient telemedicines every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com 2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- recap: email us, get CDs, upload Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html
@@dealerspot Probably from claudation of the central spine at L3. There may be lateral stenosis causing it as well as disc degeneration in the lumbar region. I've been using a cane lately and may have to switch to a walker just to keep the pressure off bilaterally.
I'm 33, and recently was rushed to emergency to be told i have this. I had supposed it was a hamstring issue, because of the pain in my left thigh and sciatica. Turns out thats just the Symptom. But I'm partially bedridden because of the pain. Surgery was mentioned to me but I'm on medication instead. It doesn't give me 100% mobility but it helps with the pain. These videos are very informative and have helped me a lot. Thank you. I don't know what my next step is. I just wanna walk again.
With the pass of the years avoiding surgery with steroides inyecciones, It Will take to a nerves degeneration, and the when surgery Is finally done the recovery wont be as succsefull if would had done years before!
Read the black box warnings before the injection also look up and study arachnoid adhesions. Scarring where injections placed. Germany has many options that keep the spine mobile and strong.
Thank you kindly. I'm 75, male and recently started having pain in my lower back, hips, legs. I had an MRI and results indicated "a degree degree of congential lumber spinal canal stenosis contributing to spinal canal narrowing" With infromation on L1-L2, L2-L3, L3-L4, L4-L5, L5-S1. You have help me greatly with your information.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for our 1st visit. 3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted. 4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 6- To recap: email us, get CDs, THEN upload! Step by step: ruclips.net/video/HpKOfI_1FSs/видео.html - If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
IMO this PT on you tube covers & explains very simply/clearly....spine conditions including stenosis....with some exercises that may help....ruclips.net/video/eUEocO2nNPU/видео.html. He specializes in helping the over 50yr...crowd....like me.
Informative....a little fast for the patient with no knowledge of the issues. I've been dealing with L4L5 stenosis for several years now. I have no life! Having surgery on 4/6/23 in Tucson. My doctor is Travis Dumont. He's kind, confident, and well trained! Minimally invasive procedure. Wish me luck!
Thanks so much for this incredible explanation of anatomy, causes of pain and treatment. I am going through this right now and have just had my mri and have been referred to a pain management doctor in my orthopedic group. I’ve been really struggling and I now know the proper course of diagnosis and treatment as I have been walked through this exact course of treatment you have outlined. Thanks again.
In December 2017, I was diagnosed with spinal stenosis of the L4-5 due to congenital narrowing of the spinal canal, scoliosis, and degenerative arthritis! I had no pain whatsoever, but would have extended episodes where I couldn't feel my legs from the waist down. I felt like a floating torso. LOL. I had a laminectomy and spinal fusion of L4-5 and was 100% better. (I had tried PT for a couple of months, but it made it worse.) Thank you for this teaching. It helps me going forward.
Thank you for the explanations. This helps people who has no medical background to understand what is going on cause back pain and treatments can be frustrating some times especially if one gets pain almost everyday.
Thank you doctor i have only come across your video May 2024 I am waiting to see a Neurosurgery consultant and i do not want surgery Thank you so much for your advice on none surgery Your video is very informative I was definitely meant to see this God works in mysterious ways May God continue protecting you and your family
Dr Donnally - Have been to MRI twice (2015 and 2018) showing SDDD in lumbar area. Am 79 yo. Had almost two years of PT which resulted in increased discomfort and discontinued it. Have had CABS (quadruple bypass October 2020 ). Lumbar symptoms began in 2015 with difficulty stepping into my pants with weak legs. Had occasional backaches without nerve pain. Had compression lumbar injury in 1969 auto accident. Used to work out at gym from 1988 to about 2014 which kept me in great shape and alleviated lumbar back pain. Got bitten by a tick around 2010, got the bull's eye rash and eventually got connective tissue disease from Lyme disease, resulting in popped shoulder tendons and loss of much arm range of motion. For about two years was treated by a Lyme doctor with no success from antibiotics. From about 2016 started with severe body/leg weakness after 1/2 hour or so after getting up in the morning. If I lay down for an hour or so my body would 'heal' up so that I could walk again for another half hour. I used to do line dancing until 2017 when leg weakness caused that to end. Now it is very strenuous and weakeningly painful after a few steps to go up more than 3 or 4 stairs. If I go anywhere where I must stand up or stand in line for longer than a minute my legs weaken drastically (at the market a carriage is absolutely essential). After shopping and pitifully getting home, it takes a good day to recuperate. Been to MANY emergency rooms over the years, no diagnosis resulting. Main complaint now IS the weakness - any ideas? I have United Health Care coverage AARP Medicare Advantage Choice Plan 2 .
By far the best explanation I have seen. i am 7 wks post Percutaneous Discectomy (July 2024), at L4/L5 S1. No improvement what so ever, had bilateral foraminal injections in L3, the L4 then L5S1 none worked, so then fact joint injection L4/L5 no response again. A June2024 MRI should central stenosis now at 2 point hence PD. Think i’m heading to open surgery where the make the hole bigger. Be glad to see the end of the sharp stabbing/burning pain down both legs.
OMG, just found you! I have this problem and just went through months of bad pain. Am having improvements now. Thank you for the explanations. I will be following you now!
![Seungmin "그렇게, 천천히, 우리(As we are)" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/kAzmhLHePqU/mqdefault.jpg)
A surgeon that tries to avoid surgery - making it a last resort. What a blessing.
Yes
I was diagnosed with lumbar spinal stenosis about 6 years ago. You are the first doctor that explained it in a way that makes sense. Thank you.
Let me help!
@@DonnallySpineConsultJim mom
@@DonnallySpineConsult❤I have suffered about ten years .Is it to late to get released from this pain.
I totally agree with what you say.
How can I found part 2. Thank you.
I edit all the videos myself! Takes forever, so I appreciate the nice words! This one took weeks!!!
Thank you for sharing this video.
Is that the same as Spinal Lumbar Arthritis?
I can do the editing for you 😊
Good job! Thank you soooo much for your efforts. God bless you!
regarding your editing. I was impressed by how quickly you covered all the material.
it was 1:50 at the beginning of the video - you were able to squeeze it all in by 1:50. Either very very very fast or the filming took 12 hours i.e. 1:50pm to 1:50am. ya I know, green screen
You are a very very good human being and tremendously knowledgeable yet so quiet and humble. Your hard work is much appreciated and valued. Thank you.
I just want to thank the Doctor for taking his valuable time to explain the different situations of the spine
Of course my long time friend
Surgeries were on L5 and S1. I've had steroid shots and epidural, which help with pain. I have weakness, I stumble and sometimes fall.
@@darrellpotts267 so do i
It's his job dumbass!
@@darrellpotts267 if you have weakness you may want surgery soon
Wow! A doctor who can speak so the patient can understand - Your communication is appreciated . And how great it is to find a Dr. who doesn’t initially whisk his patients off to surgery but gives options of mild chiropractic , medication , physical therapy👏🏼👏🏼👏🏼
Okay! Thanks for the follow! 👍📚🤓
Agree, he was impressive!
Thank you for the talemt explatoons God bless you
I been told i hv a pinch nerve call disk arnia c6 c7 i might need surgery . Physio mentioned to me to be careful wt neck surgery i can bw paralyzed. Now im more confusing
As someone who has a phobia for all things surgical, you have provided a calming presence, thank you very much kind Doctor.
👍
I have watched countless videos and googled countless websites and your video is the absolute best at simply explaining from A-to-Z what’s going on with the lumbar spinal stenosis and what the treatment options are , thank you so much for taking the time to do this it means so much and helps so much. Thank you.
Thanks!
L5 S1 radiculopathy here. I'm on week , 15 of PT. Pain in left foot only getting worse. Begging for shots or oral steroids. No NSAIDs allowed. Back issues for 50+ years. Best presentation I have ever seen
Thank you,!
Thanks for the follow
As a chiropractor with many spinal canal stenosis patients, this is a great explanation and a great approach by a great surgeon.
Thanks friend
AS A CHIROPRACTOR YOU CAN NOT SEE SPINAL STENOSIS...
@@mefirst4266 why not.
@@mefirst4266I’m sure he can see a mri. I know I showed my chiropractor my mri and didn’t just assume he knew what my issues were.
Thank you for telling me the difference between a CT and an MRI. ❤
Of course
I have spinal stenosis in L4and L5,diagnosed in 2018. Was consulted to a neurosurgeon by my neurologist but unfortunately up to now haven’t heard from him. It’s getting worse in fact I am using a walking cane as sometimes sudden buckling of my leg. I was finally seen by a pain specialist. With the treatment with medications it’s helping and am using a lumbar belt. The fortunate part of it is my right leg is good with no pain or any other symptoms and I can drive a car. By the way I also have seen a physiotherapist and am doing the exercises that was told to do it bid. Your video is quite excellent and I can fully understand my situation . Thank you.
Let me try to fix it
I have a question, did your specialist prescribe you muscle relaxers or pain medication?
very professional explained quit well in layman's term not confusing at all thanks alot
As a primary care physician of 25 years and fellow disc disease and spinal stenosis sufferer, I can attest to everything Dr. Donnally is saying as spot on 100%. I'm pleased to see that this is how I've been advising my patients. Surgery in many cases should be tried only when all else fails or if time fails to resolve the problem.
I have recently had x-rays and an MRI, both indicating lumbar spinal stenosis as well as disc degeneration. I have been trying to translate all the medical terminology used in the MRI report so I can understand the true situation.
This video is excellent in explaining the various elements involved, the possible conditions and how they can affect each other, and various procedures - primarily non-surgical - to help relieve pain.
Thank you, Dr. Donnally, for your clear, concise talk in lay terms so we non-medical folks can grasp and understand the body structure and elements involved, what can go wrong, and how different procedures work to counteract the problems.
I especially appreciate your dedication to using non-surgical treatment whenever possible, leading to quicker relief and shorter recovery times as well as minimizing risks.
I rate this video as 10 out of 10, and recommend it to others who need this information.
Hey there, Dr. Donnally does about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
Again- no HMO, no Medicaid. Must have your X-rays and MRI.
Yes I agree i do not want surgery
So please God when I see the consultant hopefully he is just like
Dr Donnally 😂
I away put my trust in God
I've watched about 20 videos on lumbar spinal stenosis, and this was the best by far. Thanks!
Glad it was helpful!
This was so informative. I have lumbar stenosis and no one has ever explained my condition as well as you have in this video. Thank you for all the time and work you put into this.
Thanks for the follow
Thank you so much for explaining spinal stenosis so clearly. Just to add to what you’ve addressed. I had two pain management treatments under sedation. They failed. Tried it one more time - no sedation and it worked perfectly….no pain. The difference was I could fee the doctor’s manipulations….you do get a local so there’s no pain. The doctor would ask “can you feel it now …left or right?”. We continued this until I couldn’t feel any pain left or right.😊
71 year old athlete in Tulsa. Sprinted in yard and tripped Jan 6. Many visits to 3 orthopedic surgeons and 2 MRI revealed torn hamstring and an extruded herniated disc in the L-5, S-1. Two months of excruciating sleep-depriving constant pain. My Primary Care DO referred me to the Pain Management Center. Yesterday morning while prepping for Epidural, the techs mentioned that "sometimes" if no relief people will schedule another treatment the next week. During procedure, the doc and her female techs maintained what seemed a super casual conversation about plans for St Paddy's day while I was excruciating for the few minutes of treatment. You mentioned at 10:24 "unethica pain management. When a tech plants the notion of another treatment the next week my red flag goes up. Your presentation is the best!!
I have been in this pain now since one month and I don't know what to do
Share the mri!
i live near tulsa to and i can say all the doctors i have been to there are not my cup of tea i have seen dr harwell at spine and brain institute. not any doctors in okla for me that knows much.
I get steroid injections in spine every 3 months now have stenosis at base of neck.
Thank you Doctor for one of the best, clear explanation of Spinal Stenosis and to not to rush to surgery. I have had spinal stenosis for years and just now have had a flare up do to an injury.
Happy to help if needed
Had a MRI years ago, was sent to a doctor who does spinal blocks, he would not do one on me, said he didn't want to paralyze me. I am doing therapy now helps me straighten up, relieves some pain. Had back problems since I was 36, am 76 now. I always have pain, have learned to live with it. I like standing up straight, I don't feel like everyone stares at me.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Great information Doc. I'm a retired nurse. I went to pain management doc here in Tucson. The injections have greatly decreased my pain
I have had two spinal surgeries. I have a fusion of S 3,4, and S1. Currently, I'm having aggressive Pt. I'm walking and have a deep appreciation of you caring docs.
This is the third video from other professionals I've listened to about lumbar spinal stenosis and I have to say Dr. Donnally convinced me to get the injection of steroids that my pain management doctor wants to give me. My back pain is between L1-L5 and has affected my quality of life so much that I cannot stand more than 4 minutes or walk more than 8 minutes without the pain nearly causing me to crumple. Dr. Donnally has a very good bedside manner with a clear voice, specific pronunciation and my guess would be very kind to his patient. Even though I have so much pain in my back you would think a needle wouldn't scare me but it does because I am deathly afraid of the pain the needle will cause. I have bookmarked this video so I can watch it again. Thank you Dr. Donnally.
Hey thanks, come see me
@@DonnallySpineConsult I wish I could come see you but I live in North Carolina, I'm 82 years old and honestly can't afford the trip. My pain management doctor offered to prescribe two Xanex to take before the appointment. Hopefully I'll work up the nerve to get the injection. Thank you for responding.
You won’t even feel the needle. When I got my shot. I was sleep
@@amberashley7559 I'm surprised that you were asleep. All the doctors I spoke to and information I have read say that the patient needs to be awake to be able to answer questions the doctor will ask such as do they feel pain in their legs or feet. If they do that is bad and the doctor will either stop or put the needle in a different spot.
Thank you Dr. Donnally for this comprehensive, clear presentation of a condition that is so prevalent. As a long time sufferer of that condition, it is for the first time I got a complete understanding of the condition and available approaches of treatment. Very helpful with your knowledge and obvious empathy for your patients! More power to you and please share more videos with us!👏
That’s for the following
Think you ought to know: the closed captioning gor this video says "fecal sac" instead of "thecal sac". That's worth a chuckle!!!
For, not gor
Thank you for the clear and definitive explanation. EVERYTHING you discuss in this video had happened to me. It started with scoliosis, then enherniated discs, now severe, high-grade spinal stenosis. I have 3 bulging discs, spinal stenosis, and now the surgeon that I consulted in Georgetown says that without the cartilage, I have an upper disc that has permanently slipped below the lower one. He showed me the MRI and explained that at the lower discs, the nerves are not visible at all because of the severe compression. Not to mention degenerative disc disease. My conditions are also complicated by tearing both of my hamstrings and they didn't heal properly. My primary care doctor reviewed the MRI and said "WOW, that's an awful lot going on with your back!" No kidding. The surgeon said that he couldn't believe that I could still walk because I had the worst case he's ever seen. He wanted to do surgery, but a 3-month recovery with NO bending, lifting or twisting. Since I live alone, that's not happening. The constant excruciating pain has become so unbearable that I can't even sleep in bed anymore, but I have to sit up on my couch. On some days, it's tolerable. It's also exacerbated my chronic sleep disorders. I'm just a mess in general. I'm in Killeen.
Yes!
@@DonnallySpineConsult sure do not understand your reply to this poor person!
I understand. The doctor that looked at my mri said he had not see one person that has so much bad going on in their back. I had one day this past week where I had hours without pain. It was wonderful. I try not to get depressed. Cold weather really bothers me. If you are a praying person we could pray for each other. ❤
Thank you very much, Dr. Donnally, for this detailed explanation of the anatomy of the spine and the causes of back pain. You're an excellent teacher.
Glad it was helpful!
I was diagnosed 5-6 years ago with spinal stenosis, with two bulging discs around l4 and l5. I have had subsequent years of leg (hams & quads) muscle atrophy and twitching, and pain. I am finally going to a surgeon soon. Thank you for your thorough and accessible video.
Thanks for sharing!
I was trying to explain my back issues to my wife. Now I can show her this video. I have everything you are showing on most of my neck and all my lumbar.
That’s wonderful
👍✅
Thank you Dr. D. I am a medical student who is challenged by spinal stenosis and this was helpful in understanding the dynamics of the process. It bridges the gap between my medical school knowledge and some of the specific physiology involved in this disease process. More importantly, this helps me to make better decisions for myself. I appreciate your work.
Thank you friend
Thank you for all you do to the community Dr D. Suffered from left leg sciatica pain for a year and a half and this year I changed my insurance to PPO which greatly improved my chances of seeing the doctors that I think are best for me. PT, injections and oral meds didn't help. Went to Dr #1 and he recommended L4L5 disectomy, laminectomy and all the works. But I thought I have 3 discs slipping etc etc and why not do more since he's going to open me up anyways.
Went to Dr #2 from one of Chicago's top ortho hospital (with your encouragement) and #2 did additional L4L5 fusion and pain was totally gone right after surgery. I'm thankful to you for calming my nerves before undergoing surgery. Now I'm totally pain free thank God!
Wow! Leave him (or me) a 5 star review? Was it Dr Divi?
@@DonnallySpineConsult no sorry, was Dr Kern Singh at Rush Hospital.
What a fantastic doctor! His knowledge and teaching ability is an absolute gift to humanity.
Thanks!!
BRILLIANT! Probably the best shortcut to learn and understand radiological terminology and interpretation of MRI scan on your lumbar spine..
Been there, done it , avoided the surgery by the skin of the teeth ! ..and defied a top London surgeon's prognosis !
Let’s do it
Wow! That was an excellent presentation. I was a career Army officer and we always tried to comminicate very complex things 'at the 8th grade level' so everyone can understand the task. In order to do this you have to really know your topic. I think an 8th grader could understand your presentation. I'm going through the lumbar/sciatica process now. My chiropractor recommended I persue the pain injections. He mentioned the diagnostic benefit as well. I have found the injections very helpful for my neck. At the VA where I get treated, for a chronic problem you have to be referred to the spine surgeons by pain management or physical medicine, so they don't QB the injections.
Happy to help
@@DonnallySpineConsult hi I have a disks L5 slipper out is there anyway to fix or just operation thanks
8/21/24 very helpful. Leads me to understand the importance of finding a surgeon who is willing to treat my symptoms,rather than treating my MRI . Thank you so very much.
Exactly
Invaluable- clearly presented information. My symptoms come and go- right now quite intense- working on strengthening core with squats, pelvic tilt and bridges. My spinal surgeon and I are resolved to avoid the O.R.!
Thank you- great video.
Thanks for the follow
You are a Great doctor, spent so much time and energy for back pain patients. Thank you very much for your effort and kindness. May God bless you. 🎉🎉🎉
😇✅
Thank you for this very explanatory video. It helps so much in understanding how to live with this condition and to manage the symptoms effectively. It's a steep learning curve!
Please share!
Thank you so much for this extremely well done / easy to understand video.. first time anybody has explained all this with clarity…❤❤❤
Glad it was helpful!
I looked this doctor up on Google maps. He is legitimate and has 4.9 stars! His patients love him! I see a trip to Dallas in my future.
Can also do a telemed
@@DonnallySpineConsult I’m waiting for insurance approval on new imaging. I’ll be in contact once I have those. Thank you.
Dr. Donnelly! THANK YOU SO MUCH! I've had back problems all my life, have had two surgeries, and am facing the possibility of another. NO ONE, no doctor, book, video, anything has ever explained lumbar stenosis and its treatment as completely and clearly as this! I'm saving this so I can forward it to anyone I know who's having back problems. A million thanks!
Share as much as you can!!!
Thank you for all this information. I have had very bad pain in lumbar area since 2007, most likely due to long time acromegaly. I am quite concerned (terrified) to even consider surgery. I really appreciate your clear explanations. I have had several surgeries including pituitary tumor resection, hip and knee replacement, but spine surgery is the scariest. After seeing your video I am again going to consider it. Thank you.
Thanks for the follow
You explained things so clearly..I have been offered surgery but not ultrasonic but removing the top bone off. I am terrified too . How can I tell this to a consultant surely he already knows what he's going to do.
The kind of information every back patient needs, but that you rarely have the time to lay out. Nice job.
Yep
Thank you! My partner was just diagnosed with spinal stenosis, no mention of the region but I’m sure it’s lumbar. Your video explains very clearly to us non-medical folks what is going on and what to do. He had an MRI yesterday so we’re on the right track. Again, thank you so very much!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Im scheduled to see you soon,i have an x ray and s cat scan but no mri,should i have one done before i come see you?
I was just diagnosed with spinal stenosis this week and as I lay here in bed with my leg in pain, I came across this video because I could not sleep. This is a really great video explanation in all areas. I want to avoid surgery as much as possible. I am due to get an MRI. I have also been given an order for physical therapy so will be starting that soon. thank you for the time that you put into making this video for those of us that don’t understand the medical terminology I could understand this.
Hey there, Dr. Donnally does about 15 new patient telemedicines💻 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We can’t take Medicaid. Private pay is sometimes an option, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for your 1st visit. (The only HMO we take is BCBS).
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough and is a misuse of your time. It needs to be from last 12 months. Nothing older is needed or wanted. Cant stress this enough, must have BOTH: x rays and MRI.
4- You need to get your CD of your X-ray and MRI (imaging centers will NEVER send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🥰(or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
Again- no Medicaid. Must have your X-rays and MRI.
Thanks Doc, Very well explained and easily understood. Thanks for all your effort in producing this video !
Thanks for the follow
Thanks Dr.
You totally care about your patience.
My experience there is a small percentage of doctors who always wants to run to surgery I run away from them and get a second and maybe a third opinion.
🤓📲
Thanks for a better explanation than my physiatrist provided. Doing everything I can to avoid surgery. Subscribed.
Thanks!
Thank you... I live in Thailand, and explanations in English are challenging, thus your clear and concise explanations and recommendations are welcomed.
Thanks!
Where can I find a list of stretches and strengthening exercises
i use utube for different exercises.
Please follow
Thanks!
Wow thank you so much!!!
Excellent presentation
Thanks
I am going through this currently. This presentation is very good.
Glad it was helpful!
Really good video - matches my successful treatments after so many physicians performed trial and error on me.
Share w friends
THANK YOU Dr. Donnally!!!
This is the best information I have ever received. I have had severe lumber and cervical spine issues with pain since I was ten years old. Car accident trama. I'm now 63 years old.
I have had three lumbar surgeries in the L5-S1 area. 1999, 2001, and 2004. The only one the truly helped was in 2004. All of the surgeries were for removal of fragmented disks.
Now that the pain in the lumbar area is so severe, after multiple injections, I was advised that I need to have the disks removed and spacers placed there for a fusion.
The cervical area in just has bad and needs the same treatment.
I sure wish I lived in Texas could be treated by you.
Thanks again for this video.
Oh wow thank you!!
A great presentation of what I am dealing with currently. I have completed physical therapy and am also being adjusted by a very good chiropractor. Relief is slowly getting better!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
What a great video! Thank you for taking the time to really explain the causes and treatments. Keep preaching for people to avoid surgery if they can. 👍
Hey thanks a lot
The best advice .Thank you doctor
Always welcome
Doc what an amazing clip. Just diagnosed with possible Stenosis. Starting oral steroids, gab and PT. Then will evaluate for MRI. Thx for a clear discription.
If it needs a fix give me a shot
Both of my feet are numb apparently from spinal stenosis but am not a candidate for surgical intervention due to "poor bone quality", ie, osteoporosis. I'm kind of backed into a corner 😁 I appreciate the thorough info presented so I can discuss this with my Dr with more understanding of my DX 👍
Happy to look
Yes, I have that number foot soles syndrome. It's a pia.
Try Dr. John McDougal's free eating plan. There have been people who found relief.
By far the best explanation I've Never gotten... My doctor just throws out the labels and never takes the time to explain it.
That’s kinda funny the way you said it
@@DonnallySpineConsult 🤪
I am currently doing physical therapy for lumbar stenosis. I cannot stand for more than 10-15 minutes before lower back pain is pretty severe. The pain is changing areas, from the lower back to buttocks and down the back to my knees.
It could be something called neurogenic, claudication, an MRI would help show
@@DonnallySpineConsult thank you! The physical therapy is required by insurance, before any imaging is done. Unfortunately.
This is such a great explanation of lumbar spinal stenosis, thank you so much! It took more than 10 years for me to get a diagnosis and I managed things for several years with rehab exercises, but it has flared up this year and progressed to tingling and numbness in legs and feet. I'm trying to get a consult with a surgeon here in Toronto. I had a cortisone injection 5 weeks ago and it helped with some pain but did nothing to alleviate the numbness. I can barely walk 100m, if it's a good day, before my feet go numb and sometimes it feels like my legs are about to buckle. At least I feel better informed about what may actually be happening. Thank you, Dr. Donnally!
Thanks for the follow 📺
That was an excellent explaining, thank you so much. I am going to be seeing pain management for the epidural injections of L4-5 and L5-S1. I have several levels of degenerative disc disease and disc desiccation too.
My question is how long can I continue to take anti inflammatories like Aleve, or Advil without it causing harm to my liver or stomach??
I’ve been taking a combination of Advil and Tylenol alternating every 4 hours. (Doing this until I can get my epidural scheduled). I also realize I will need to stop the advil before the procedure. I have also had several courses of medrol dosepack over the last 8-9 weeks because of the pain. Fortunately my pain has begun to subside slightly, and I am not showing weakness in my legs any longer. But that’s only been about a week or so now. I hate taking the meds but the pain was debilitating at first. So glad it is beginning to get better, or maybe the meds are just working better now.
Thanks for your time.
That’s great I hope!!
i dont take any over the counter stuff, it can mess up other things in your body.
@@DonnallySpineConsult just be careful taking them, don't exceed more then 8 pills in a24 hour period ,and watch taking acetaminophen.bad for the liver.
Thank you for taking care of your fellow humans.
Yes!
I have this issue with weak muscles due to nerve degeneration. Is there any way that nerves might heal after surgery. It has been over twenty years when I was diagnosed with it and I opted not to go for surgery.
Would appreciate a reply.
Is there any supplement which may help in nerve regeneration?
If the weakness is due to a pinched nerve, I’d rec surgery
Excellent, excellent description of spinal stenosis and treatment. I got a steroid shot in a joint, not the spine and the pain went away and it was such a relief.
Perfect
Where are you located please
I had Spondylolisthesis from pars fractures that formed between ages eight and fifteen. That and arthritis and disc herniation caused my stenosis was so severe (bone on bone) where I had no choice but to have anterior and posterior spinal fusion surgery and that really helped me. The Spondylolisthesis and Stenosis is also genetic.
The friend who sent me this link is T.M. Reid !.
Did it help
This is the best explanation i have heard for someone battling back problems
Thanks
Very interesting information. I have been suffering with lower back pain for the past four years but now it’s getting better because I exercise regularly. Sometimes I get this shooting pain right down my leg and it’s very painful. I was diagnosed with lumber disc herniation of the third and fourth disc. What else must I do to get rid of this situation? Hoping to hear from you. Thank you very much.
Yes, please reach out!
I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
@@DonnallySpineConsult Dr. Donnally I'm too far away to be referred TO YOUR CARE. WORSE, THE SPINAL CENTER CLOSEST RO Me has closed down. I needed surgery for SI MANY OF WHAT SO OUR VIDS have) do describe!! And needed the well over a decade ago!! I'm stuck in Illinois, ALREADY ON MEDICARE/DISABILITY. YET CLOSEST QUALITY SPINAL SPECIALISTS ARE IN Missouri. My legs, esp. right leg Is buckling, the ONE LOCAL CHIRO that Does TAKE MEDICARE, well, is the same honestly as NOT GETTING ON THE TABLE-IF you get my meaning. I am at this point...trying NOT to live through the day by being permanently connected to the tense home devise I have. (I HATE BIG PHARMA/IE; dumping meds into my system).
Amazing infos very knowledgeable Doc! Stay blessed
Love u dr..iam with rhematoid arthritis with steroids 15 yrs..i have terrible cervical nd lumbar stenosis of 25yrs..whole body is with parashesias......u love ur mom somuch.
✅
Awesome video! I had surgery for spinal stenosis 3 years ago. They didn’t fuse any vertebrae but rather removed whatever was causing the stenosis. The pain in my legs was completely gone but has recently returned. The surgeon told me that he will install plates and screws next time which I would like to avoid. I’m going to pt now hoping I can get some relief. It seems to be helping. I’m gonna ask my doctor about the steroids and injections.
Let me look if new images
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
I've watched a lot of vids on this topic and this cleared up a lot of the fog for me. A great explanation of what stenosis is and the treatment options. My local doc didn't do 1/10th of the education that I received watching this video. Thank you.
Stick w me
I have the weakness in legs - especially the right leg. PT tried to get me to increase strength, but it caused more back problems. Been in PT for years.
Just discovered many of the exercises in PT could be making spinal stenosis worse. Those are lower back strengthening exercises - like bird dog, or superman, hip flexor exercises - like leg raises or marching, and piriformis stretching, or reaching across to feet while sitting and hamstring stretches.
I've got to get the stenosis specific exercises, like abdominal bracing, pelvic tilt while holdingback and abs down and contracting glutes, knees to chest
while holding the back down and glutes engaged, angry cat and ab curls - both withkab tightening and glutes engaged. Are there any PT stenosis specialists out there? All of mine seem to want me to do other stuff that aggravate my condition - while telling me that I may need hip replacement.
Hey there, I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
What was root cause of weakneess
@@dealerspot Probably from claudation of the central spine at L3. There may be lateral stenosis causing it as well as disc degeneration in the lumbar region. I've been using a cane lately and may have to switch to a walker just to keep the pressure off bilaterally.
I'm 33, and recently was rushed to emergency to be told i have this. I had supposed it was a hamstring issue, because of the pain in my left thigh and sciatica. Turns out thats just the Symptom. But I'm partially bedridden because of the pain. Surgery was mentioned to me but I'm on medication instead. It doesn't give me 100% mobility but it helps with the pain.
These videos are very informative and have helped me a lot. Thank you.
I don't know what my next step is.
I just wanna walk again.
Let’s fix it
😭😭how!!!???
@@DonnallySpineConsult
I was recently with this because of my MRI.
I am going to get physical therapy. Do you think heat packs and massage helps?
My L5 has slipped over the S1 with pain in my left glute and hip. PT helped and ice packs as well as my heating pad.
yes i do
Thank you for such a clear, informative presentation. Walked away with so much information in a way I can understand.
Glad it was helpful!
With the pass of the years avoiding surgery with steroides inyecciones, It Will take to a nerves degeneration, and the when surgery Is finally done the recovery wont be as succsefull if would had done years before!
Is there a solution to restore nerve damage?
If the patient needs the surgery, I’m happy to help!
Read the black box warnings before the injection also look up and study arachnoid adhesions. Scarring where injections placed. Germany has many options that keep the spine mobile and strong.
What German studies are there?
@@deb73042 what German studies are available?
Thank you kindly. I'm 75, male and recently started having pain in my lower back, hips, legs. I had an MRI and results indicated "a degree degree of congential lumber spinal canal stenosis contributing to spinal canal narrowing" With infromation on L1-L2, L2-L3, L3-L4, L4-L5, L5-S1. You have help me greatly with your information.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
ruclips.net/video/HpKOfI_1FSs/видео.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
IMO this PT on you tube covers & explains very simply/clearly....spine conditions including stenosis....with some exercises that may help....ruclips.net/video/eUEocO2nNPU/видео.html. He specializes in helping the over 50yr...crowd....like me.
Informative....a little fast for the patient with no knowledge of the issues. I've been dealing with L4L5 stenosis for several years now. I have no life! Having surgery on 4/6/23 in Tucson. My doctor is Travis Dumont. He's kind, confident, and well trained! Minimally invasive procedure. Wish me luck!
good luck
Thanks so much for this incredible explanation of anatomy, causes of pain and treatment. I am going through this right now and have just had my mri and have been referred to a pain management doctor in my orthopedic group. I’ve been really struggling and I now know the proper course of diagnosis and treatment as I have been walked through this exact course of treatment you have outlined. Thanks again.
👍✅ subscribe for more
In December 2017, I was diagnosed with spinal stenosis of the L4-5 due to congenital narrowing of the spinal canal, scoliosis, and degenerative arthritis! I had no pain whatsoever, but would have extended episodes where I couldn't feel my legs from the waist down. I felt like a floating torso. LOL. I had a laminectomy and spinal fusion of L4-5 and was 100% better. (I had tried PT for a couple of months, but it made it worse.) Thank you for this teaching. It helps me going forward.
That’s great
Thank you for the explanations. This helps people who has no medical background to understand what is going on cause back pain and treatments can be frustrating some times especially if one gets pain almost everyday.
Cool!!!
Thank you doctor i have only come across your video May 2024
I am waiting to see a Neurosurgery consultant and i do not want surgery
Thank you so much for your advice on none surgery
Your video is very informative
I was definitely meant to see this
God works in mysterious ways
May God continue protecting you and your family
I forgot to say I am in the UK 🇬🇧
Get the CD and let me see
Total spinal disorders explain in easy and beautiful manner
Thanks
Thank you for all your knowledge you share. We need more doctors like you
Wow, thank you!
thank you for taking tbe time to explain this problem clearly...
You are most welcome
This is without doubt the best explained of all that ive seen on youtube. Thank u so much Dr.
Hey thanks so much
Thanks for the video
You bet
Dr Donnally - Have been to MRI twice (2015 and 2018) showing SDDD in lumbar area. Am 79 yo. Had almost two years of PT which resulted in increased discomfort and discontinued it. Have had CABS (quadruple bypass October 2020 ). Lumbar symptoms began in 2015 with difficulty stepping into my pants with weak legs. Had occasional backaches without nerve pain. Had compression lumbar injury in 1969 auto accident. Used to work out at gym from 1988 to about 2014 which kept me in great shape and alleviated lumbar back pain. Got bitten by a tick around 2010, got the bull's eye rash and eventually got connective tissue disease from Lyme disease, resulting in popped shoulder tendons and loss of much arm range of motion. For about two years was treated by a Lyme doctor with no success from antibiotics. From about 2016 started with severe body/leg weakness after 1/2 hour or so after getting up in the morning. If I lay down for an hour or so my body would 'heal' up so that I could walk again for another half hour. I used to do line dancing until 2017 when leg weakness caused that to end. Now it is very strenuous and weakeningly painful after a few steps to go up more than 3 or 4 stairs. If I go anywhere where I must stand up or stand in line for longer than a minute my legs weaken drastically (at the market a carriage is absolutely essential). After shopping and pitifully getting home, it takes a good day to recuperate. Been to MANY emergency rooms over the years, no diagnosis resulting. Main complaint now IS the weakness - any ideas? I have United Health Care coverage AARP Medicare Advantage Choice Plan 2 .
Need a new MRI and I can help
@@DonnallySpineConsult - am in process of seeing a new primary care Dr next week and hope to get a neurologist to get an MRI
gene
Very informative. Helps people with back pain choose their treatments.
Yes
Excellent video. This my situation and trying to learn how to move forward with my active lifestyle.
You can do it!
Thank you for the way you explained things
Glad it was helpful!
I thank you for sharing your knowledge. God bless.
Thanks for the follow
By far the best explanation I have seen. i am 7 wks post Percutaneous Discectomy (July 2024), at L4/L5 S1. No improvement what so ever, had bilateral foraminal injections in L3, the L4 then L5S1 none worked, so then fact joint injection L4/L5 no response again. A June2024 MRI should central stenosis now at 2 point hence PD. Think i’m heading to open surgery where the make the hole bigger. Be glad to see the end of the sharp stabbing/burning pain down both legs.
Was it actually a spine surgeon that did it? Get a ct and MRI update and I can look
Thank you Dr you are a blessing to speak where we as laymen can understand you 😊💐👍🏾
✅
Excellent, informative, clear explanations.
😇
Sir, you are a GREAT teacher! I ❤ your channel! Please continue making these videos! Very helpful to me, at least!
Thank you, I will
OMG, just found you! I have this problem and just went through months of bad pain. Am having improvements now. Thank you for the explanations. I will be following you now!
Happy to help
I just had Epidural injections 3 days ago.. I’m praying it helps.. Tyfs!
Reach out if not! Get your x rays also
Very well explained. Thanks doc 🫰👏👏👏
So nice of you
Very nice!! Extremely helpful. Thank you, Dr. Donnally.
😇✅
Very informative and patient friendly! Decisions, decisions,....Thank you Dr. Donnally.
🇺🇸🙏